G <br /> <br /> C- - <br /> PROJECT AUTHORIZATION FORM P~bowo 9 <br /> )i City of Eugene <br /> !'1 i- :.-k1«y~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID PB ~ GL _ JC ~ JE <br /> Project title: / T ~ / ?!i ~~k' <br /> (locati°n and xrork descnpt n) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (~h) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other X. Remodel <br /> FUNDING SOURCES: <br /> City ? Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTME TAL WORK DESCRIPTION: ~ <br /> J r <br /> f APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 3 <br /> `Zi.lp <br /> FOR USE BY ADMINISTRATION ONLY ~~sroym <br /> Capital Project No. ACK ~i~ ~~.~•~oo~ XM/~.K. <br /> GL Title ~ ~ ~ ~ <br /> Assigned by Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> f ~ ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE) Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />